Daniel Austin Boone, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2019016836 Issued in MO

Practice address

107 Village Center St
Nixa, MO 65714-7824

Phone

(417) 725-0000

Fax

(417) 725-0001

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 417 Eyes a Series LLC

  • Optometrist
  • Marshfield, MO
  • NPI 1386036721

  MO, Optometrist

  Medicare reassignment Care Compare group NPD
• Daniel E Boone OD

  • Optometrist
  • Nixa, MO
  • NPI 1891730388

  MO

  Medicare reassignment Care Compare group
• Currier Family Eyecare OD PC

  • Optometrist
  • Marshfield, MO
  • NPI 1659509131
  NPD (past)

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel E Boone OD 2 clinicians

417 Eyes a Series LLC 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2019.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1609434604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VILLAGE CENTER ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147824",
            "telephone_number": "417-725-0000",
            "fax_number": "417-725-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 VILLAGE CENTER ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147824",
            "telephone_number": "417-725-0000",
            "fax_number": "417-725-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Spur Dr",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "MO",
            "postal_code": "657062261",
            "country_code": "US",
            "telephone_number": "417-859-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "DANIEL",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019016836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Bartlett Blake, RN
• Nicole Blanchard, MS, CCC-SLP
• Aaron Blevins, PHARMD., R.PH.
• Blue Medical LLC
• Steven J Boling, PSYD, LPC
• Daniel E Boone, O.D.
• Boulderwood Estates LLC
• Angela J. Boyer-Krause, MS, LPC
• Suzanne N Bradshaw, MA, LPC
• Renee Lynn Brake

• All providers in Nixa, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.